title: [A case of solitary fibrous tumor in the sella turcica].
abstract: A 64-year-old male presented with an incidental tumor in the sella turcica during a brain medical checkup. Because he lacked any neurological symptoms or signs of pituitary dysfunction, the patient did not undergo surgery. Three years later, visual disturbances developed, including poor eyesight and visual field defects. The response to the growth hormone(GH)releasing peptide-2 demonstrated severe GH deficiency. MRI revealed an enlarged tumor appearing as a mosaic pattern of high and very low intensity on T2-weighted imaging. The region of very low intensity on T2-weighted imaging exhibited enhancement after T1 gadolinium-DTPA administration. The tumor was totally removed via the microscopic trans-sphenoidal approach in combination with endoscopic observation. The hard tumor adhered to the dura of the sella turcica and the medial wall of the left cavernous sinus. Histological verification confirmed a solitary fibrous tumor(SFT). Fourteen months after the operation, MRI revealed no recurrent tumors. SFT infrequently occurs in the sella turcica; however it should be included in the differential diagnosis in cases of enhanced tumors with marked low intensity on T2-weighted imaging.
authors.affiliation: Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
authors.forename: Kiyoharu
authors.initials: K
authors.lastname: Shimizu
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tominaga
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kinoshita
authors.forename: Satoshi
authors.initials: S
authors.lastname: Usui
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Sugiyama
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kurisu
mesh_terms: D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012074:Remission Induction; D012658:Sella Turcica / Q000473:pathology / Q000601:surgery*; D054364:Solitary Fibrous Tumors / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D019786:Gadolinium DTPA